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Marisa Geller M.D.
Coordinator Obgyn.net Latina
Specialist on Obstetrics and Gynecology
Specialist on Fertility and Sterility
Buenos Aires
Argentina
Note: opinions expressed here are for educational purposes
only and, as such, do not constitute a physician-patient
relationship. This information is not intended to supplant
the need for you to consult with your physician prior to
choosing therapeutic options and/or interventions.
**Private emails cannot be entertained due to time
constraints; consequently, they will receive no response.
>----- Original Message -----
From: "KMN" <anonymous@obgyn.net>
To: "Multiple recipients of list PREGNANCY-BIRTH"
<pregnancy-birth@mail.medispecialty.com>
Sent: Friday, May 30, 2003 7:51 PM
Subject: HELP! please do not skip-help me decide if I should vbac or
c-section? desperate
>
> --------------------------------------------------------------------------
------
> --------------------------------------------------------------------------
> I am 39 years old at 38 weeks pregnant and this is my second baby. My
> --------------------------------------------------------------------------
> first baby was c-section due to fever with group b strep (after 12+
> hours ROM)and failure to progress past 8 cm. She never came all the way
> down (was a bit tangled in cord and posterior). I felt I was really
> rushed into that c-section and was never told how high the fever was
> (and was it really due just to the epidural). Baby was totally fine. I
> want to vbac, yet here are the things ONE of the docs of my group (the
> ultra conservative founder) is really concerned about-he really wants me
> to have a c-section: "Risk" factors: *group b strep positive again
> *vbac-risk of uterine rupture *had incarcerated uterus which was
> repositioned at 14 weeks *have a prominent sacral promontory *baby still
> high at 38+ weeks, and always is posterior *have history of sacro-iliac
> instability due to old back injury Do you see my history and current
> condition as that which strongly indicates a high risk for vbac
> delivery? I guess I am focused now on the sacral promontory issue-will
> that make me more likely to rupture due to uterus having to work any
> harder to get baby to negotiate the birth canal? I searched the archives
> and can find almost nothing regarding this issue. I can not sleep for
> worrying about having another c-section that may be unnecessary.
> Thanks so much!!!!!!
>